Raymond Lilly Jr, MD | |
1600 N Grand Ave, Ste 508, Pueblo, CO 81003-2757 | |
(719) 595-7040 | |
(719) 595-7045 |
Full Name | Raymond Lilly Jr |
---|---|
Gender | Male |
Speciality | Neurological Surgery |
Location | 1600 N Grand Ave, Pueblo, Colorado |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1376541094 | NPI | - | NPPES |
P00149591 | Other | CO | RAILROAD MEDICARE |
01313360 | Medicaid | CO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207T00000X | Neurological Surgery | 31336 (Colorado) | Primary |
Mailing Address | Practice Location Address |
---|---|
Raymond Lilly Jr, MD 1600 N Grand Ave, Ste 508, Pueblo, CO 81003-2757 Ph: (719) 595-7040 | Raymond Lilly Jr, MD 1600 N Grand Ave, Ste 508, Pueblo, CO 81003-2757 Ph: (719) 595-7040 |
Christopher Traut, PA-C Neurological Surgery Medicare: Medicare Enrolled Practice Location: 1600 N Grand Ave, Suite 508, Pueblo, CO 81003 Phone: 719-595-7040 Fax: 719-595-7045 | |
Dr. William Y Lu, M.D. Neurological Surgery Medicare: Not Enrolled in Medicare Practice Location: 1600 N. Grand Ave., Ste 508, Pueblo, CO 81003 Phone: 719-595-7040 Fax: 719-595-7045 | |
Dexter D Koons, M.D. Neurological Surgery Medicare: Not Enrolled in Medicare Practice Location: 400 W 16th St, Pueblo, CO 81003 Phone: 719-320-3515 Fax: 719-543-1309 | |
Ali K Murad, M.D Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 1600 North Grand Ave, Suite 508, Pueblo, CO 81003 Phone: 719-595-7040 Fax: 719-595-7045 |